| NPI | 1578920898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M MULLER President 224-678-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036081060) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |